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The changes of TXB2 and 6-Keto-PGF1α in the myocardium with relation to blood-gas after hypothermic sea water near drowning in rats

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Author:
No author available
Journal Title:
CHINESE JOURNAL OF NAUTICAL MEDICINE AND HYPERBARIC MEDICINE
Issue:
2
DOI:
10.3760/cma.j.issn.1009-6906.2001.02.001
Key Word:
低温海水;淹溺;血栓素B2;6-酮-前列腺素F1α

Abstract: 目的探讨低温海水淹溺大鼠心肌TXB2、6-Keto-PGF1α及TXB2/6-Keto-PGF1α(T/K)与血气的关系.方法将淹溺组大鼠置于低温(16~18℃)海水中,任其自由游动直至沉入水底,呼吸暂停,迅速取出置室温下观察,分别于5,15,30,60,240,360 min(每小组各6只)测大鼠肛温,取左心血行血气分析,取各小组4只检测心肌组织TXB2及6-Keto-PGF1α含量,观察T/K变化,肺组织计算干重/湿重比值(D/W),另2只光镜下观察肺脏及心脏形态改变.结果淹溺大鼠肛温、pH、PaO2及6-Keto-PGF1α明显降低,于5 min组降至最低点(P<0.01),PaCO2及TXB2则明显上升,分别于5 min组及30min组升至最高点(P<0.01),T/K比值明显上升;淹溺后随离海水的时间延长,肛温、pH、PaO2及Pa-CO2呈恢复趋势,心肌的TXB2、6-Keto-PGF1α及T/K比值则无明显改善.结论低温海水淹溺大鼠心肌的TXB2及6-Keto-PGF1α含量受低温、低氧血症及酸中毒的影响,造成TXB2增高、6-Keto-PGF1α降低及T/K比值失衡从而使心脏功能趋于恶化.

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